NPIMap

Organization Active NPI

Cheryl D Bingham DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1801160635
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34818 Issued in CA
Legal business name
CHERYL D BINGHAM DDS INC
Practice address
11905 S Central Ave
203
Los Angeles, CA 90059-2897
Phone
(323) 564-7504
Fax
(323) 564-8645
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cheryl Diane Bingham, DDS
Title
President/ Secretary
Phone
(323) 564-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 34818 CA Primary

Addresses

Primary practice location

11905 S Central Ave
203
Los Angeles, CA 90059-2897

Mailing address

11905 S Central Ave
203
Los Angeles, CA 90059-2897
Phone (323) 564-7504

Other identifiers 1

IdentifierTypeStateIssuer
34818OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Cheryl D Bingham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1801160635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 S CENTRAL AVE",
            "address_2": "203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592897",
            "telephone_number": "323-564-7504",
            "fax_number": "323-564-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 S CENTRAL AVE",
            "address_2": "203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592897",
            "telephone_number": "323-564-7504",
            "fax_number": "323-564-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL D BINGHAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT/ SECRETARY",
        "authorized_official_telephone_number": "323-564-7504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "34818",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.